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25 | On 02/13/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management visit. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrator, Mieshun Willis-Bryant via telephone. Administrator is unable to attend this visit and gave verbal permission for LPA to meet with the House Manager. LPA met with House Manager, Byron Corley
The purpose of this visit is to amend a report created for the annual inspection on 01/30/2024. During the annual inspection, LPA found that a filled prescription medication for R1 did not match the centrally stored medication log / MAR. Facility records indicated that R1 should have been receiving a higher dosage of the medication, however the facility was administering a lower dosage of the medication. Further review revealed that the facility did have the higher dosage medication, however staff did not administer the medication. Facility staff were unable to provide documentation, during the annual inspection, indicating which medication R1 should be receiving. Approximately two days later, Administrator informed LPA that R1’s medication was changed to the lower dosage on 12/20/2023 and the medication log was not changed to reflect the correct dosage.
LPA amended the deficiency issued on 01/30/2024 to reflect an error in maintaining accurate records for centrally stored medication.
No deficiencies issued during today’s inspection.
Exit interview conducted and a copy of this report was discussed and provided to House Manager, Byron Corley, whose signature on this form confirms receipt of this document. |